Case Management, Health Plan, Healthcare, Maintain Compliance, Medical Office Administration, Medical Records, Primary Care, Privacy Controls, Quality of Care, Record Keeping, Registered Nurse (RN), Risk Analysis, Social Work, Treatment Plan
LOCATION
Louisville South, KY
POSTED
7 days ago
Our Client, a Healthcare company, is looking for a RN Case Manager for their Louisville South, KY location.
Responsibilities:
Perform comprehensive assessment of high risk members.
Collaborate with primary care providers to ensure the implementation of an individualized, comprehensive care plan with specific interventions designed to engage the member.
Address, identify, and continuously reassess cost-efficient, appropriate levels of care.
Put non medical support in place to ensure compliance with treatment plans (such as housing and transportation).
Coordinate care transitions as needed.
Coordinate with physicians, social workers, discharge planners, and claims professionals in transitioning patient to appropriate level of care.
Engage specialty resources as needed to achieve optimal resolution.
Keep detailed records of clinical, functional, and fiscal outcomes during the management process.
Identify opportunities for health promotion and illness prevention.
Prevent adverse patient occurrences when possible and intervene quickly if prevention is not possible, thereby minimizing poor outcomes.
Act as patient advocate by protecting privacy and confidentiality issues.
Requirements:
License required: RN Licenses in IN and will accept compact license
Required Home Health Skills:
Wound Care, IV, Drain care, G tubes, basic education.